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It is important to us that you feel comfortable while visiting our office. To achieve this goal, we have staffed our office with caring people who will answer your questions and help you ......more

It is important to us that you feel comfortable while visiting our office. To achieve this goal, we have staffed our office with caring people who will answer your questions and help you understand your treatments.

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Kajal

Jul 19, 2018

He is one of the best doctor I met! He has a very good experience and diagnose! I am totally happy with the all service provide by his team and I will surely recommend him every and forever thanks doctor

Pradeep

Dec 17, 2017

I found the answers provided by the Dr. Umesh Shetty to be very helpful. Thnx sir

Verified

Jul 19, 2018

Best treatment and doctor is awesome he listened my problem perfectly and suggested for better treatment and fast recovery he done my fracture in hand now I am totally fine because of him thanks doctor best service by staff and team

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You’re working at your desk, trying to ignore the tingling or numbness you’ve had for some time in your hand and wrist. Suddenly, a sharp, piercing pain shoots through the wrist and up your arm. Generally, there is a tendency among people to neglect it by thinking that it is just a passing cramp. But it could be a carpal tunnel syndrome. It is a narrow passageway of ligament and bones at the base of the hand. It contains nerve and tendons. Sometimes, swelling narrows the tunnel and causes the nerve to be compressed. Symptoms starts gradually. As they worsen, grasping objects can get difficult.

It happens due to excess pressure in your wrist and on median nerve. Few most frequent conditions linked with carpal tunnel syndrome are:

Carpal tunnel syndrome can be made worse if the wrist is overextended on a regular basis. Which may be the result of:

positioning of your wrists while using your keyboard or mouse

long exposure to vibration from using hand tools

any repeated movement that overextends your wrist like typing

Women are three times more likely to have carpal tunnel syndrome than men. It is diagnosed between the ages of 30 and 60. Lifestyle factors that may increase the risk of carpal tunnel syndrome include smoking, high salt intake, high BMI (body mass index).

Symptoms are usually found along the nerve path. Your hand may fall asleep frequently and drop objects. Other symptoms include:

numbness and pain in your thumb and the fist three fingers of your hand

pain and burning in your arms

wrist pain at night while sleeping

weakness in the hand muscle

It can be diagnosed by physical examination and tests like nerve conduction studies. A physical examination includes a detailed evaluation of your hand, wrist, shoulder and neck. Doctors will look at wrists for signs of tenderness, swelling, or nay other deformities.

For non-surgical treatment, the options are:

avoiding positions that overextend your wrist

wrist splints that hold your hand in a neutral position, especially at night

mild pain medication and medications to reduce inflammation

steroid injections into your carpal tunnel

Surgery will be required if there is a severe damage to your median nerve. Surgery involves cutting the band of tissues in the wrist that crosses the median nerve which will lessen the pressure on the nerve. The outcome is usually good.

One can prevent carpal tunnel syndrome by making lifestyle changes that reduce the risk of developing it by treating diabetes, high blood pressure and arthritis. Physical exercises will be helpful as well.

Treating carpal tunnel syndrome early with physical therapy can lead to long term improvement and eliminate symptoms. Untreated carpal syndrome can lead to permanent nerve damage, disability and loss of hand function.

Stenosing tenosynovitis which is also known as trigger finger is a medical condition in which one of your fingers gets stuck in a bent position. Your finger may bend or straighten with a snap – like a trigger being pulled and released.

It occurs when inflammation narrows the space within the sheath that surrounds the tendon in the affected finger. If trigger finger is severe, the finger may become locked in a bent position.

People whose work or pursue hobbies require repetitive gripping actions and are at higher risk of developing trigger finger. The condition is also more common in women and in anyone with diabetes. Treatment of trigger finger varies depending on the ferocity.

Symptoms may progress from mild to severe which may include:

Finger stiffness, particularly in the morning

A popping or clicking sensation as you move your finger

Tenderness or a bump (nodule) in the palm at the base of the affected finger

Finger catching or locking in a bent position, which suddenly pops straight

Finger locked in a bent position, which you are unable to straighten

Trigger finger can affect any finger, including the thumb. More than one finger may be affected at a time, and both hands might be involved. It is usually noticeable in the morning, while firmly grasping an object or when straightening your finger. the patient should seek immediate medical care if the finger joint is hot and inflamed, as these signs may indicate infection.

If you have any stiffness, catching, numbness or pain in a finger joint, or if you can’t straighten or bend a finger, fix an appointment with a doctor.

Factors that put at risk of developing trigger finger include:

Repeated gripping– Occupations and hobbies that involve repetitive hand use and prolonged gripping may increase the risk of trigger finger.

Certain health problems- People who have diabetes or rheumatoid arthritis are at higher risk of developing trigger finger.

Your sex– Trigger finger is more common in women.

Carpal tunnel syndromesurgery– Trigger finger may be a complication associated with surgery for carpal tunnel syndrome surgery, especially during the first six months after surgery.

Surgical and other procedures

Steroid injection- An injection of a steroid medication near or into the tendon sheath may reduce inflammation and allow the tendon to glide freely again. This is the most common treatment, and it’s usually effective for a year or more in most people treated. But sometimes it takes more than one injection.

For people with diabetes, steroid injections tend to be less effective.

Percutaneous release- After numbing palm, the doctor inserts a sturdy needle into the tissue around the affected tendon. Moving the needle and your finger helps break apart the constriction that’s blocking the smooth motion of the tendon.

This treatment may be done under ultrasound control so the doctor can see where the tip of the needle is under the skin to be sure it opens the tendon sheath without damaging the tendon or nearby nerves. This procedure is usually done in the doctor’s office or in an office procedure room.

Surgery- Working through a small incision near the base of the affected finger, a surgeon can cut open the constricted section of tendon sheath. This procedure is usually done in an operating room.

Medications

Nonsteroidal anti-inflammatory drugs — such as ibuprofen (Advil, Motrin IB) or naproxen (Aleve) — may relieve the pain but are unlikely to relieve the swelling constricting the tendon sheath or trapping the tendon.

Therapy

Rest- Avoid activities that require repetitive gripping, repeated grasping or the prolonged use of vibrating hand-held machinery until your symptoms improve. If you can’t avoid these activities altogether, padded gloves may offer some protection.

A splint- Doctor may have you wear a splint at night to keep the affected finger in an extended position for up to six weeks. The splint helps rest the tendon.

Stretching exercises- Doctor may also suggest gentle exercises to help maintain mobility in the finger.

Anemia gets detected when body does not have enough red blood cells (RBC). This condition is mainly caused by excessive blood loss and the destruction of red blood cells, or the inability to create enough red blood cells naturally. There are several types of anemia. The most common type found in Indian society is iron deficiency anemia.

Red blood cells contain a protein called hemoglobin. Hemoglobin is nothing but level of iron in body. Without sufficient iron, body cannot make the hemoglobin it needs to create enough red blood cells to deliver oxygenic blood throughout body. Folate and Vitamin B-12 deficiency may also impact body’s ability to generate enough red blood cells for a human to survive normally. If body doesn’t process B-12 properly, one may get pernicious anemia.

A diet that is rich in iron and Vitamins – like B, C and E are very crucial to be included in diet as it will help in boosting up the immunity in general. Diet has to play an important role in curing anemia. The best diet schedule for anemic patients includes foods which are extremely rich in iron. Certain vital vitamins are essential for hemoglobin and red blood cell formation. The consumption of foods which will help absorb iron also is essential.

There are generally two types of iron found like heme and non-heme iron. Heme iron is generally found in meat, poultry and sea food while non-heme iron is present in plant foods and leafy vegetables. Heme iron is easily absorbed by our body than non-heme. On an average, a human being needs about 150-200 grams of iron daily. It is difficult to get so much iron grams easily.

Meat and poultry – All meat and poultry contains heme iron which is easy for absorption. Red meat, lamb, and venison are the best sources of iron. Poultry and chicken have lower amounts of iron but are beneficial.

Gout, commonly known as Hyperuricemia, is a painful form of arthritis and occurs when high levels of uric acid in the blood forms crystals which cumulates around a joint in a body. Uric acid is generally produced when the body breaks down a chemical called Purine. Uric acid is eliminated from the body in form of urine. A gout diet may help decrease uric acid levels in the blood. Gout diet can be followed to control the uric acid but may not completely cure it.. Medication also is needed to manage pain and to lower levels of uric acid, though the line of treatment may vary from person to person.
It is very necessary to keep track of what you eat if your uric acid levels are higher. Foods which may trigger gout attacks are organ meats, red meats, sea food, alcohol and beer. On the other hand, dairy products, soy products and vitamin C supplements may help prevent gout attacks by reducing blood uric acid levels, says studies.
There are many foods which need to be avoided to control uric acid. One should see how much content of Purine content a substance contains. High Purine foods as well as moderately high Purine foods and fructose foods are not recommended by doctors if one has higher uric levels. Organ meats like liver, kidneys and brains of either chicken or lamb should be avoided. Sea food such as salmon, tuna, king fish, prawns and crabs triggers the risk of sudden increase in uric acid levels in a body. Jaggery, honey, sugar (which is a direct carbohydrate), corn syrup should be completely avoided as it has high sugar levels.

As there are some restrictions in your diet there are also few things which shall be consumed in proper proportion such as various fruits including jamun, guava, cherries which helps in reducing the uric acid levels and reduces inflammation too. All vegetables are extremely healthy including potatoes, peas, mushrooms, eggplants and dark green leafy vegetables which has ample amount of anti-oxidants. All legumes, nuts beans, brown rice may certainly help in balancing diet and nutrition. Green tea is very beneficial as it contains anti-inflammation properties and is full of anti-oxidants which helps in detoxing the body. Oil is necessary as it lubricates joints and smoothens the movement. Edible oils including Canola, Coconut, Flax seeds and Olive oil is highly recommended.

You’re working at your desk, trying to ignore the tingling or numbness you’ve had for some time in your hand and wrist. Suddenly, a sharp, piercing pain shoots through the wrist and up your arm. Generally, there is a tendency among people to neglect it by thinking that it is just a passing cramp. But it could be a carpal tunnel syndrome. It is a narrow passageway of ligament and bones at the base of the hand. It contains nerve and tendons. Sometimes, swelling narrows the tunnel and causes the nerve to be compressed. Symptoms starts gradually. As they worsen, grasping objects can get difficult.

It happens due to excess pressure in your wrist and on median nerve. Few most frequent conditions linked with carpal tunnel syndrome are:

Carpal tunnel syndrome can be made worse if the wrist is overextended on a regular basis. Which may be the result of:

positioning of your wrists while using your keyboard or mouse

long exposure to vibration from using hand tools

any repeated movement that overextends your wrist like typing

Women are three times more likely to have carpal tunnel syndrome than men. It is diagnosed between the ages of 30 and 60. Lifestyle factors that may increase the risk of carpal tunnel syndrome include smoking, high salt intake, high BMI (body mass index).

Symptoms are usually found along the nerve path. Your hand may fall asleep frequently and drop objects. Other symptoms include:

numbness and pain in your thumb and the fist three fingers of your hand

pain and burning in your arms

wrist pain at night while sleeping

weakness in the hand muscle

It can be diagnosed by physical examination and tests like nerve conduction studies. A physical examination includes a detailed evaluation of your hand, wrist, shoulder and neck. Doctors will look at wrists for signs of tenderness, swelling, or nay other deformities.

For non-surgical treatment, the options are:

avoiding positions that overextend your wrist

wrist splints that hold your hand in a neutral position, especially at night

mild pain medication and medications to reduce inflammation

steroid injections into your carpal tunnel

Surgery will be required if there is a severe damage to your median nerve. Surgery involves cutting the band of tissues in the wrist that crosses the median nerve which will lessen the pressure on the nerve. The outcome is usually good.

One can prevent carpal tunnel syndrome by making lifestyle changes that reduce the risk of developing it by treating diabetes, high blood pressure and arthritis. Physical exercises will be helpful as well.

Treating carpal tunnel syndrome early with physical therapy can lead to long term improvement and eliminate symptoms. Untreated carpal syndrome can lead to permanent nerve damage, disability and loss of hand function.

The Ulnar nerve is the longest unprotected nerve in the human body (meaning it is not protected by any bones or muscles), and is also one of the predominant nerves that enables efficient sensation and function to the hand. The Ulnar nerve begins at the neck and travels all the way down the inside of the forearm to the palm of the hand. However, at this point, the Ulnar nerve branches out within the palm and into the ring and little fingers.

Ulnar Tunnel Syndrome of the wrist is a condition characterized by an entrapment of the Ulnar nerve as it passes through the Guyon's canal within the wrist. Women are more likely to develop this condition than men because of incessant household works and also sitting at the table and working on the laptops and desktops on an everyday basis.

The most common cause of Ulnar Tunnel Syndrome is a ganglion cyst, which is a non-cancerous fluid-filled lump that usually originates from the wrist joint.

The treatment of Ulnar Tunnel Syndrome of the wrist includes both non-surgical and surgical methods. Usually, people who are diagnosed with this syndrome at the first stage can be cured with simple physiotherapy at home.

Ulnar Tunnel Syndrome of the wrist may occur in individuals of all ages, races, ethnic groups and gender but majorly as per the reports, women are more likely to develop this condition than men. From the past studies, it is seen that the individuals who participate in sports that involve repetitive stress on the wrist, such as gymnastics , table tennis, lawn tennis , badminton are the common and frequent victims of the syndrome.

Also, certain occupations that require repetitive overuse of the wrist, such as carpentry or painting are also sufferers of this syndrome.

The common signs and symptoms of Ulnar Tunnel Syndrome are as follows;-

Techniques which help in the diagnosis of Ulnar Tunnel Syndrome are as follows :-

Physical Examination:- A thorough physical examination is important in determining if an individual has Ulnar Tunnel Syndrome of the wrist. During the process, a physician will examine the hand to look for any common signs of the syndrome such as a diminishing or loss of muscle tissue, muscle weakness or dry skin within the spaces between the fingers.

X-rays:- This process uses radiation to produce images of the wrist.

Computerized Tomography of the wrist joint:- A CT SCAN takes a series of X-ray images from several different angles. These images are then intermingled to create cross-sectional images of bones and soft tissues with the body.

Magnetic resonance imaging:- An MRI is a more scrutinized scan that uses strong magnetic fields to produce clearer and transparent images of the bones and soft tissue that surrounds the wrist.

Electromyography(EMG):- An EMG shows the electrical activity of the muscle during rest and contraction of the muscle.

The treatment measures for Ulnar Tunnel Syndrome of the wrist include both non-surgical and surgical methods:-

Surgical Method:

Surgical excision - Surgical excision involves the removal of the ganglion cyst, scar tissue, or it may help mitigate any other factor that causes compression of the ulnar nerve.

Endoscopic Ulnar- Endoscopic ulnar tunnel release is a minimally invasive surgical procedure that allows a physician to examine the carpal tunnel within the wrist using an orthopedic device called an endoscope.

Non-surgical method:

Applying ice or a damp heated towel to the wrist can help reduce pain and swelling.

Any activity that aggravates the wrist condition should be avoided.

Complete immobilization of the wrist with a cast may be required to restrict movement.

Non-steroidal anti-inflammatory oral medications, such as indomethacin and naproxen, may be used to treat Ulnar Tunnel Syndrome.

Corticosteroid injections help in temporary relieving symptoms, such as pain, and in improving the range of motion.

It is important to begin some light exercises after the symptoms have decreased. Physical therapy may help restore strength, as well as flexibility in the muscles.

As you age, the cartilage cushioning your joints starts wearing down, causing the bones to rub against each other. This causes osteoarthritis, which is a type of degenerative disease caused. The rubbing of the bones causes inflammation of the joints. The joints of the arms and legs along with the lower back are most commonly affected by this condition.

Here are some common symptoms, which indicate that you are suffering from osteoarthritis:

1. Pain and tenderness: An aching back, knees, neck and hip with severe pain are some of the most common symptoms of osteoarthritis. The pain caused during the early stage of arthritis is classified into tenderness and pain. A sharper pain may be felt while moving the affected joint in a certain way. Tenderness is the discomfort experienced when the joint is pressed along with visible swelling in the affected area.

2. Joint stiffness: Joint stiffness is another early symptom of osteoarthritis. It refers to the wooden feeling, which makes a person feel slow and sluggish. The urge to rest or go to bed should be resisted. Warming up the joints with gentle exercise or moving around cause relief. It also helps in reducing the stiffness and you can continue your regular activities with more ease.

3. Abnormal sensations: When the cartilage wears down, the rubbing of the bones against each other may lead to some abnormal sensations. Grating of the joints is common in people with osteoarthritis. One may feel that their joints are cracking or clicking while moving.

4. Loss of flexibility: People who are in their early stages of osteoarthritis may face difficulty with moving the areas which are affected. This joint stiffness and pain may lead to a loss of flexibility or loss of range of motion. Range of motion refers to the extent up to which one can move his joints normally. In case you are not being able to bend your knee fully or as far as you would have done it normally, you might be experiencing osteoarthritis.

Loss of flexibility occurs slowly and gradually. A person may hurt his back unusually during a football game or may experience a stiff back in the morning after waking up. This gets more intense with time. In the later stages, you may experience joint pain even while resting.

In case you experience any symptoms of osteoarthritis, you must consult a doctor immediately. The doctor will provide you with a plan aimed at managing and getting a quicker relief from the pain caused due to osteoarthritis. Several over-the-counter medicines, braces for supporting affected joints and range of motion exercises are also effective ways of managing osteoarthritis. In case you have a concern or query you can always consult an expert & get answers to your questions!

Now-a-days people are conscious about their health and make efforts to remain fit and eat healthy and balanced diet. We come across many people who take part in running Marathons every year. Running is not easy, as it needs lot of preparations and planning much before the day of the Marathon. One has to invest ample amount of time in balancing diets and workout routines as it needs strength physically and mentally too.

As running a marathon is not everyone’s cup of tea, there are so many things one should consider before participating in it. People who run shall specifically take care of things which can boost their stamina. In order to run for some focused cause, one needs to plan way before and practice accordingly.

There are several things which can create a problem for a person while he is running which may ultimately lead to stress and even might demotivate him from undertaking any physical activity. They can face knee ligament tears, shin sprint, Achilles tendinitis, muscle pull, ankle sprain, blisters or some temperature related issues. Runners should always keep themselves on a healthy diet, eat ample amount of protein and lessen the intake of carbohydrates, wear something they are extremely comfortable in like T-shirt and track pants, also they should be running in track shoes and use a clean napkin.

Here are few tips which tell a lot about how one can prevent injuries while running

Maintain flexibility – Daily stretching is essential to improve and maintain flexibility, which in turn will help improve performance and prevent injuries.

Include strength training in your running program – Strength training improves the body strength and overall athleticism and performance. This, in turn, reduces muscular fatigue that leads to poor stamina and injuries. A program of 2-3 strength training sessions per week would be beneficial.

Eat Balanced Diet and Maintain Body Hydration – One should eat food which is nutritious as well as a balanced meal. A runner should consume 3-4 litres of water in a day, drinking a glass of water every half an hour.

Gradually increase mileage and plan training schedule – Good aerobic activity is the foundation of your running performance. You can increase the intensity gradually by 5%- 10% every week. Training schedule can be fixed by consulting your fitness expert.

Examine your routine and structure of the feet – It is important for a runner to take rest. Keep 1-2 days off for your workout sessions as muscles need time to recover. Also, it is equally important to get the foot examined by an orthopedic expert or a physiotherapist, which may help you in improvising the posture. Foot type is based upon the structure of your foot and the degree of Pronation which is the normal inward rolling of your foot in running as your foot strikes the ground and transitions into pushing off. Abnormal pronation can lead to injuries.

Today, every one is aiming towards fitness regime or eating a healthy diet or even living a healthy lifestyle. It is awesome to run, but yes be secured and safe. Happy Running!

Lifestyle of people today is way different than our elders used to follow. Food habits, nutritional choices, way of living life has been changed and so the importance of physiotherapy in the medical field. Physiotherapy helps restore the body movements and function when one is affected by injuries, illnesses or any severe disabilities. The physiotherapists help people of all the ages, helping patients to manage severe pain and also helps into preventing the deadly injuries. Physiotherapy profession helps to encourage and facilitates development and recovery, enabling people to stay in work.

People may come to see a physiotherapist for variety of reasons, low back pain, knee dislocations, shoulder injuries, fractures, ligament and tendon issues which they must have caused during hectic workouts or while playing sports. Youth today do gyming, and are very cautious about their aesthetics. The very common injuries seen while working out in gym or playing sports are muscle pull, ligament tears, slip disc, ball socket injuries. To cure these injuries one will need medications as well as physiotherapy assistance. The key role of a physiotherapist is to investigate, so that they can make a treatment plan which will normally include passive modalities like ice, heat, laser treatments and electrical stimulations to name few of them. There are several techniques which a physiotherapists use to cure patients.

1. Manual Therapy – Manual therapy can be used in all part of injuries. The hands on approach factor separates physical therapists from other health experts. This therapy usually employ common tactics like stretching, massage to train the body into proper mechanics and movements. Experts say that manual therapy should be the backbone of any treatment plan.

2. Theraband Exercises – This band is a versatile type of equipment available to help with any injury strengthening and rehabilitation program. These exercises improves your muscular endurance and strengths, it enhances your aesthetic appeal by improving your posture, balance, body co-ordination etc. You can consult your physiotherapist before performing your exercises. Shoulder extension, knee and hamstring flexion can be performed using theraband.

3. Ice – This treatment will be best for Injuries involving inflammation and Swelling. Ice plays a extreme vital role in the physiotherapy treatment. Ice is an effective way to reduce and prevent inflammation immediately following an injury. Cold therapy can also leave the joint more mobile can enhance manual therapy. Applying cold therapy to inflamed areas has been shown to significantly reduce swelling in soft tissue injuries.

4. Heat – Heat techniques can be used best for the injuries involving muscular spasms and tightness. Heat application decreases the pain and increase mobility in mainly those involving soft tissues like ligaments, tendons and muscles. Heat treatments makes tissues more pliable. This treatment can support the treatment plan, but this cannot be the mainstream treatment.

5. Ultrasound – This treatment is the best for the connective tissue injuries. By using sound weaves (not heard by the human ear) generates heat deep inside the body. Ultra Sound has also been shown to increase ligaments and tendons healing. In this treatment the wand is used to apply the sound weaves directly on your skin.

6. Low Level Laser – This technique is useful in treating muscular or connective tissue injuries. This therapy uses specific wavelengths of light to stimulate healing. It helps in reducing inflammation, muscle fatigue and pain. LASER stands for ‘Light Amplification by Stimulated Emission of Radiation.’ It is basically red infrared light on areas of injury.

7. Short Wave Diathermy(SWD) – The term diathermy is heating or producing deep heating directly in the tissue of the body. The externally applied source of the heat can be wet hot towels, infrared lamps and electric heating pads often produces discomfort and slight skin burns long before adequate heat has penetrated to the deeper tissues. This technique is effective in relieving pain and also helps in reducing inflammation. It is excessively used in lower back pains, curing arthritis, brusitis, osteomylitis, and several others.

8. Maitland Mobilization – This concept basically uses passive and accessory mobilizations of the spine to treat pain and stiffness. There are grades which are seen in following treatment namely like Small movements of the spine performed within the spines resistance, larger movements of the spine but still performed within the spines resistance, large movements of the spine performed into the spines resistance, A small movement of the spine performed into the spines resistance, A high velocity movement performed into the spines resistance. This type of mobilization depends on the severity, nature and irritability of the spinal pain. This technique good for spinal injuries.